HomeMy WebLinkAboutReview Checklist TOWN OF YARI\IOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location A.M. Lot 10,)-f y 5 Zone of Contribution: In Out Acreage
/ Commercial: Residential:
Street: G ,.. � ---�---
Village: Floor Plan:
Bedrooms: I
Owner: 6 A i(,•e )I U✓Nj !V / k.t_skee Installer: g` i3
Address: I
Phone: c 77
Phone: ii
Builder: Engineer:
Address: �� '-7 /��e-'-/^5
Phone: Phone: Sbv._ ) �_ 0.?-77
N/A YES NO 1. Requi ed#of copies received
2. Date o soils exam and percolation test not older than 2 years -
3. 4-5 ft .f naturally occurring pervious material; above water table - -
4. Found.tion 2 ft above high •oint of road t°
g H.P.: Fnd: Var.: -
5. Water ine 10 ft from septic components Var.: I -
6. Benc ark indicated and shown-NGVD if near wetlands
7. Septic ank minimum 10 ft from foundation, deck Var.:
8. Leachi; g minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: i `--
9. Leac 's• minimum 100 ft from wetlands Var.:
10. Leachi g minimum 150 ft from drinking welL'25 ft irrigation well Var.: v
11. Tank/1-1ching minimum 10 ft from property line Var.: ✓
12. System meets all other setback requirements Var.:
13. Uses a.L ustment for maximum high groundwater Var.:
14. Leac • g set 4-5 ft above adj. water or bottom of test hole Var.:
15. System i of in top or subsoil (A,B horizons) or 5' removal
16. Propos-• contours are suitable
17. System eets slope requirements- min. 1/8", %"preferred
__18. S stern eets breakout re.uirements PVC liner: Wall: I 11111
19. Specifies tee sizes are proper, gas baffle on outlet tee
20. Sewage s under 10,000 gpd for parcel
21. No garb.ge disposal
22. System .de uately sized for its intended use
23. Minimu • 6"stone or compacted below tank and dbox L
24. Manhole covers within 6"of grade, pump chamber cover to grade
25. Inspecti.n port on plastic chambers/leach field
26. Electrica permit for pump chamber/Separate meter for duplexes ;,
27. Pump sy•tem-2"line,weep hole,check valve, tee in dbox, pump size
28. Septic to i pump chamber to be factory waterproofed v
29. Vent pro •ded if leaching below 3 feet,under driveway/parking
30. Buoyanc calculations for tank/pump chamber •
31. Engineer o inspect and certify soils: wall: commercial:
32. Engineer I'egistered Sanitarian and Land Surveyor stamps/signature l _
33. H-20 loas ng is subject to vehicular traffic,groundwater
34.Title V A.plieation and permit fee, installer signature
35. Foundation footing min. 2 feet above adjusted ground water for new house
36. Deed Res 'ction required max. #bedrooms: max. flow:
37. Check ar : lots for _ oundwater/Label oundwater in Assessor's Ma gpd
Pla reviewed by: 1 _�v(_ ���) ._